团体心理治疗对脑卒中后偏瘫患者心理健康的影响

Effect of group psychotherapy on mental health of patients with post-stroke hemiplegia

目的探讨团体心理治疗对脑卒中后偏瘫患者心理健康的影响。方法选取2014年6月至2015年5月该院住院的脑卒中后偏瘫患者90例,随机分为对照组(45例)和试验组(45例),对照组行脑卒中后偏瘫常规康复治疗,试验组在常规康复治疗基础上行团体心理治疗,采用临床症状自评量表(SCL-90)评定两组心理健康情况。结果脑卒中后偏瘫患者心理障碍的发生频度依次为:焦虑、抑郁、人际关系、躯体化、敌对、偏执、强迫、恐怖和精神病性。试验组经团体心理治疗后躯体化、人际关系、抑郁、焦虑、恐怖因子得分较治疗前均明显降低,差异均有统计学意义(P<0.05)。结论团体心理治疗有利于改善脑卒中后偏瘫患者的心理健康状况。

Objective To explore the effect of group psychotherapy on mental health of patients with post？stroke hemi？plegia. Methods 90 cases with post-stroke hemiplegia in the hospital from June 2014 to May 2015 were randomly divided intothe control group（45 cases）and the experimental group（45 cases）.The control group was underwent conventional rehabilita？tion therapy for post？stroke hemiplegia,while the experimental group was underwent group psychotherapy on the basis of routinerehabilitation therapy.The clinical symptom checklist-90（SCL-90）was used to assess the mental health status of the two groups.Results The frequency of psychological disorders in patients with post？stroke is anxiety,depression,interpersonal relationship, somatization,hostility,paranoia,compulsion,terror and psychosis in turn.After the group psychotherapy,the scores of somatiza？tion,interpersonal relationship,depression,anxiety and terror were significantly lower in the experimental group than beforetreatment,and the difference was statistically significant（P〈0.05）. Conclusion The group psychotherapy can improve mentalhealth of post-stroke hemiplegia patients.